By complying with Human Rights Campaign’s controversial demands, US Foods increases the risk of dividing employees, alienating customers and harming shareholders. The company covers transgender-related medical costs for its employees and their children. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, marketing, and philanthropic support. However, the company has not publicly terminated business relationships based on views or beliefs. The company's CEO signed the CEO Action for Diversity and Inclusion pledge and is a corporate partner of the National LGBT Chamber of Commerce (NGLCC). However, the company does not appear to discriminate against charitable organizations based on views or beliefs. For these reasons, US Foods receives a Medium Risk rating.